Provider Demographics
NPI:1851037170
Name:BROWN-WILSON, GLORIA EUGENIA (MPH)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:EUGENIA
Last Name:BROWN-WILSON
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5236 HILLTOP RD UNIT 106
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27282-9825
Mailing Address - Country:US
Mailing Address - Phone:757-227-1795
Mailing Address - Fax:336-641-5777
Practice Address - Street 1:1100 E WENDOVER AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-6713
Practice Address - Country:US
Practice Address - Phone:336-641-2801
Practice Address - Fax:336-641-5777
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor